6
INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO COMPARE AUDITORY AND TACTILE STREAMING-BASED P300 BCIS P. Ziebell 1 , J. Stümpfig 1 , S.C. Kleih 1 , M.E. Latoschik 2 , A. Kübler 1 , S. Halder 3 1 Institute of Psychology, University of Würzburg, Würzburg, Germany 2 Institute of Computer Science, University of Würzburg, Würzburg, Germany 3 School of Computer Science and Electronic Engineering (CSEE), University of Essex, Colchester, United Kingdom E-mail: [email protected] ABSTRACT: Since neurodegenerative diseases or brain injuries causing locked-in-syndrome (LIS) might lead to loss of vision, different approaches of vision- independent BCIs were developed, for example P300 BCIs using auditory or tactile stimuli. However, BCI- inefficiency has been reported in these approaches as well, with high workload proposed as an underlying problem. In this contribution, a motivating training study design is introduced to compare auditory with tactile P300 BCIs using a streaming-based approach of stimulus presentation that was proposed as a relatively low- workload alternative to classic approaches of sequential stimulus presentation. First performance results of N = 6 healthy participants were examined case-wise all participants were able to use at least one BCI version successfully. The preliminary results indicate high motivation and show that there is no superior modality per se but individual preferences in stimulus modalities. This should be considered for future research with healthy as well as LIS users. INTRODUCTION The P300 BCI enables users to control various applications, for example text spelling devices, via the non-muscular pathway of electroencephalography (EEG), primarily relying on event-related potentials (ERP), in particular the P300 component [1]. To elicit the P300, an external stimulation is necessary in P300 BCIs, visual stimulation has until recently been the major focus of research. However, since the eye- gaze dependence of these visual approaches has been pointed out which is especially problematic for a main target population of potential BCI users, namely severely paralyzed patients suffering from locked-in- syndrome (LIS), a condition often accompanied by a drastic loss of gaze control eye-gaze independent BCIs exploring alternative P300 stimulation methods have become a new focus of research [2]. Promising results with LIS patients have been reported in a training study using a multi-class auditory P300 BCI; however, cases of BCI-inefficiency occurred as well, with high workload of the auditory multi-class stimulation approach being identified as a problematic factor [3]. A multi-class tactile P300 BCI also showed encouraging results in a training study with elderly healthy participants aged between 50 and 73, but BCI- inefficiency occurred in this approach, too [4]. Eventually, it also yet has to be tested with LIS users and might be problematic with regard to a potentially high workload for this user group in a similar way as the auditory sequential multi-class approach. To decrease workload problems, an alternative approach, the streaming-based auditory P300 BCI, has been developed. This approach alters the common sequential multi-class presentation of stimuli in one stimulus stream by arranging them in a two-class stimulus presentation with two stimulus streams. First positive results with healthy and LIS users could be shown as well, indicating its potential as an intuitively usable communication device [5]. The current study aimed to replicate the positive results of this intuitive two-class auditory streaming-based P300 BCI with alternative stimuli and furthermore to create a two-class streaming-based tactile P300 BCI in a detailed training case-study approach. Since potential pitfalls of BCI training studies have been pointed out [6], attention was focused on developing a user-friendly study design. Therefore, outcome measures were selected based on the user-centered design approach to evaluate exhaustively the usability of BCI-controlled applications [7]. To ensure high motivation during the whole study, the guidelines by [8] were followed and ideas from BCI gaming literature were taken into account (e.g. [9]), resulting in a “Star Wars”-themed study design. We hypothesized that the streaming-based P300 BCI version with auditory stimulation as well as the version with tactile stimulation are both intuitively usable and that user performance would further increase via training. Subsequently, preferences for one of the BCI versions and a potential transfer of learning were explored in an additional transfer session after three training sessions, where users switched from the auditory version to the tactile version or vice versa. Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46

INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO

COMPARE AUDITORY AND TACTILE STREAMING-BASED P300 BCIS

P. Ziebell1, J. Stümpfig1, S.C. Kleih1, M.E. Latoschik2, A. Kübler1, S. Halder3

1 Institute of Psychology, University of Würzburg, Würzburg, Germany

2 Institute of Computer Science, University of Würzburg, Würzburg, Germany

3 School of Computer Science and Electronic Engineering (CSEE), University of Essex,

Colchester, United Kingdom

E-mail: [email protected]

ABSTRACT: Since neurodegenerative diseases or brain

injuries causing locked-in-syndrome (LIS) might lead to

loss of vision, different approaches of vision-

independent BCIs were developed, for example P300

BCIs using auditory or tactile stimuli. However, BCI-

inefficiency has been reported in these approaches as

well, with high workload proposed as an underlying

problem.

In this contribution, a motivating training study design

is introduced to compare auditory with tactile P300

BCIs using a streaming-based approach of stimulus

presentation that was proposed as a relatively low-

workload alternative to classic approaches of sequential

stimulus presentation.

First performance results of N = 6 healthy participants

were examined case-wise – all participants were able to

use at least one BCI version successfully. The

preliminary results indicate high motivation and show

that there is no superior modality per se but individual

preferences in stimulus modalities. This should be

considered for future research with healthy as well as

LIS users.

INTRODUCTION

The P300 BCI enables users to control various

applications, for example text spelling devices, via the

non-muscular pathway of electroencephalography

(EEG), primarily relying on event-related potentials

(ERP), in particular the P300 component [1].

To elicit the P300, an external stimulation is necessary –

in P300 BCIs, visual stimulation has until recently been

the major focus of research. However, since the eye-

gaze dependence of these visual approaches has been

pointed out – which is especially problematic for a main

target population of potential BCI users, namely

severely paralyzed patients suffering from locked-in-

syndrome (LIS), a condition often accompanied by a

drastic loss of gaze control – eye-gaze independent

BCIs exploring alternative P300 stimulation methods

have become a new focus of research [2].

Promising results with LIS patients have been reported

in a training study using a multi-class auditory P300

BCI; however, cases of BCI-inefficiency occurred as

well, with high workload of the auditory multi-class

stimulation approach being identified as a problematic

factor [3]. A multi-class tactile P300 BCI also showed

encouraging results in a training study with elderly

healthy participants aged between 50 and 73, but BCI-

inefficiency occurred in this approach, too [4].

Eventually, it also yet has to be tested with LIS users

and might be problematic with regard to a potentially

high workload for this user group in a similar way as the

auditory sequential multi-class approach.

To decrease workload problems, an alternative

approach, the streaming-based auditory P300 BCI, has

been developed. This approach alters the common

sequential multi-class presentation of stimuli in one

stimulus stream by arranging them in a two-class

stimulus presentation with two stimulus streams. First

positive results with healthy and LIS users could be

shown as well, indicating its potential as an intuitively

usable communication device [5].

The current study aimed to replicate the positive results

of this intuitive two-class auditory streaming-based

P300 BCI with alternative stimuli and furthermore to

create a two-class streaming-based tactile P300 BCI in a

detailed training case-study approach. Since potential

pitfalls of BCI training studies have been pointed out

[6], attention was focused on developing a user-friendly

study design. Therefore, outcome measures were

selected based on the user-centered design approach to

evaluate exhaustively the usability of BCI-controlled

applications [7]. To ensure high motivation during the

whole study, the guidelines by [8] were followed and

ideas from BCI gaming literature were taken into

account (e.g. [9]), resulting in a “Star Wars”-themed

study design.

We hypothesized that the streaming-based P300 BCI

version with auditory stimulation as well as the version

with tactile stimulation are both intuitively usable and

that user performance would further increase via

training. Subsequently, preferences for one of the BCI

versions and a potential transfer of learning were

explored in an additional transfer session after three

training sessions, where users switched from the

auditory version to the tactile version or vice versa.

Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46

Page 2: INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

MATERIALS AND METHODS

Participants: Herein reported are data from N = 6

healthy participants between 20 and 41 years (2 female).

Participants were recruited via internet advertisement

and compensated financially for participation.

Exclusion criteria were: no auditory or neurological

impairments, no use of psychotropic substances, no left-

right disorientation and no previous BCI-use. All

participants spoke German at native-speaker level. The

study was conducted in accordance with the ethical

guidelines of the Declaration of Helsinki [10].

EEG data collection: EEG was recorded using a

g.USBamp-amplifier and 16 Ag/AgCl active electrodes

(g.Ladybird electrodes on a g.Gamma cap; products of

g.tec Medical Engineering GmbH, Austria,

http://www.gtec.at/). Electrodes were placed on the

following 10-20-system positions (modified

international standard [11]): AF7, Fpz, AF8, F3, Fz, F4,

FC3, FCz, FC4, C3, Cz, C4, CP3, CPz, CP4 and Pz.

The reference electrode was attached to the right

earlobe, the ground electrode to position AFz. The

signal was band-pass filtered between 0.1 to 30 Hz,

notch-filtered at 50 Hz and recorded with a sampling

rate of 256 Hz. A Hewlett–Packard ProBook 6460b

with Dual-Core-CPU, 4 GB RAM and 64-Bit Windows

7 was used for data collection, BCI2000 was used for

P300 stimulus presentation as well as recording and

processing of the signal [12]. These EEG data formed

the basis for calculating objective measures for

successful BCI-use, covering the BCI-usability criteria

effectiveness and efficiency.

Design of the streaming-based P300 BCIs: As a first

step, the intuitive streaming-based P300 BCI version

with auditory stimulation was designed as a slight

modification of the one introduced by [5]. The

streaming-based tactile P300 BCI was inspired by the

auditory version and furthermore incorporated ideas

from earlier tactile P300 BCI research [4]. A major

focus while designing the two BCI versions was to

maximize their comparability. In both versions, an

object on a computer screen had to be moved toward a

target, via a predetermined pathway of single steps

leading left, right, up or down. The participants’ task

was to choose the correct direction using the BCI. In the

current study only left and right selections had to be

actively chosen. Figure 1 shows a schematic of the task

accompanied by a more detailed description.

For the auditory streaming-based P300 BCI version, one

stimulus-channel was presented to the right ear and the

other stimulus-channel to the left ear, via stereo-

headphones (Sennheiser HD 280 PRO, http://de-

de.sennheiser.com/hd-280-pro). On the right ear, the

German word “rechts” (meaning “right”) served as a

target-stimulus and the English word “right” served as a

non-target-stimulus, while on the left ear, the German

word “links” (meaning “left”) served as target-stimulus

and the English word “left” served as non-target

stimulus. The words “links” and “left” were spoken by a

female voice, the words “rechts” and “right” by a male

voice, duration of each word was standardized to 500

ms, volume and tone of voice were kept neutral. At the

end of the setup, volume was individually adjusted for

each participant, so that all stimuli were pleasantly

audible, easy to discriminate and none more salient in

comparison to the other stimuli.

Figure 1: Schematic of the users’ task. Since the current

study involved only healthy participants without severe

visual impairments, the direction selections that had to

be chosen via BCI were announced visually on a

computer screen. An object (cuboid) had to be moved

along a predetermined pathway of glowing left/right

arrows to a goal (glowing ring). In addition, up/down

arrows were integrated, to create more diverse pathways

and to potentially expand the task and the P300 BCI by

including two more direction selection possibilities. In

the current study the up/down arrows were

automatically shown and selected with the previous left

or right arrow. Only the currently relevant direction

selection arrow was shown on the computer screen, to

facilitate concentration on the currently relevant

direction selection and to not forestall the whole

pathway of arrows, which might have induced boredom.

After every correct direction selection, users received

auditory feedback in form of a positive sound. If users

selected the wrong direction, the sound remained

absent. Then the hitherto existing arrow vanished, the

object was moved to the next position, the next and now

currently relevant arrow appeared and the next direction

selection began. The glowing goal ring was presented

permanently on the screen. For the object, the screen

wallpaper, the arrows and the goal, different pictures

were inserted to increase task variability.

The tactile streaming-based P300 BCI version used the

right forearm as one stimulus-channel and the left

forearm as the other stimulus-channel. Therefore, four

tactile stimulators which were able to induce tactile

sensations via vibration were attached using elastic

bands (C-2 Tactors, Engineering Acoustics, Inc.,

https://www.eaiinfo.com/). One stimulus-channel

consisted of two tactile stimulators on the inner side of

Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46

Page 3: INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

the right forearm and the other of two tactile stimulators

on the inner side of the left forearm. On each of those

two stimulus channels one tactile stimulator was placed

near the right/left wrist. These two tactile stimulators

were defined as the emitters of the tactile target-stimuli

to select a right direction selection (right wrist) or a left

direction selection (left wrist). The remaining tactile

stimulators were placed near the inner side of the elbow

on the right/left forearm and defined as the emitters of

the tactile non-target-stimuli. All four tactile stimulators

vibrated with a stimulus duration of 125 ms and an

inter-stimulus-interval of 250 ms from the end of one

stimulus to the beginning of the next stimulus. A paper

tissue was placed between the skin and each tactile

stimulator to reduce EEG artifacts that could potentially

originate from the tactile stimulators. As in the auditory

version, participants were eventually asked, if the tactile

stimuli were easy to discriminate from each other and if

the caused vibrations were perceived as equally strong

and pleasant.

In both versions, auditory as well as tactile, a stimulus-

selection-sequence consisted of 10 stimuli in total with

one target stimulus and four non-target-stimuli per

channel. After the start of the first stimulus on one

channel, the stimuli of the other channel were started in

constant anti-phase to the stimulus-stream of the first

channel – in both streaming paradigm versions, the

stimuli of the second channel started 375 ms after the

corresponding stimuli of the first channel, which lead to

the total length of each stimulus-selection-sequence

being 3.75 seconds. Within each stimulus-selection-

sequence, the target-stimuli and non-target-stimuli were

presented in a pseudo-randomized order to enlarge the

P300 effect via heightened unpredictability. To give

participants a chance to refocus, a break of four seconds

was included after the last stimulus of each stimulus-

selection-sequence, before the next stimulus-selection-

sequence could get started.

Training protocol: Since recent training studies

mainly showed increases until the third training session,

but mostly plateau effects in the sessions thereafter (e.g.

[3, 4]) and the streaming-based P300 BCI approach has

been shown to be intuitively quick to learn [5], the

current study included three training sessions, t1, t2 and

t3, before the additional transfer session, t4, where users

switched from the auditory version to the tactile version

or vice versa, so all in all four sessions. The sessions

were individually assigned on four different days with

at least one day and at most six days without BCI-use

between each session. Before the first session, the

participants were pseudo-randomly assigned to one of

two groups: Group AT, using the auditory BCI version

at t1, t2 and t3, transferring to the tactile version at t4,

and Group TA, using the tactile BCI version at t1, t2,

and t3, transferring to the auditory version at t4.

Each training session started with an individual

calibration to estimate the optimal parameters for EEG

signal classification (based for example on [3]). First,

users sat down in front of the computer screen in a

comfortable position, then EEG, headphones, and in

case of the tactile version, tactile stimulators were set up

as described above. To prevent EEG artifacts,

participants were instructed to keep their eyes open and

to avoid unnecessary movements during the stimulus-

selection-sequences. Thereafter the experimenters

explained the BCI, recommending two strategies, first,

focusing on the relevant stimulus-channel and blending

out the irrelevant stimulus-channel, and second,

counting the target-stimuli of the relevant stimulus

channel as a way to focus attention on them. Then the

participants could ask questions. The calibration

consisted of 24 direction-selections, each consisting of

10 stimulus-selection-sequences, divided in two runs

with 12 direction-selection-sequences and a one-minute

break in between. Based on that, the optimal

classification weights and the number of optimal

stimulus-selection-sequences for the subsequent online-

classification-runs were estimated using the heuristic

described by [3]. The online-classification-runs had 12

direction selections and per training session, four

online-classification-runs had to be completed, resulting

in 48 direction selections. For both the calibration-runs

as well as the online-classification-runs, the total

number of left direction selections was exactly equal to

the total number of right direction selections. Sequence-

effects were balanced and each direction selection did

not occur more than three times in a row, to avoid

monotony which might lead to a weaker P300 response.

To embed the calibration-runs into the motivational

context of “Star Wars”, they were named

“Introduction”, like the introduction to the magical

“Star Wars” power called “the Force”, which some

“Star Wars” characters experience in their adventure

stories. The object that needed to be moved was a “Star

Wars” light saber and it was moved before a “Star

Wars” background, a “Jedi Knight Temple”. The

online-classification-runs were called “Missions”,

where different objects out of the “Star Wars” movies

had to be moved through different “Star Wars”

backgrounds, with each object and background forming

a scene from a “Star Wars” movie. To give immediate

feedback on successful direction selection, a one-second

long feedback sound was given via headphones after

each successful selection, in the auditory as well as the

tactile version. A positive sound of the popular “Star

Wars” droid “R2D2” was chosen (“R2D2a.wav”,

http://www.galaxyfaraway.com/gfa/1998/12/star-wars-

sounds-archive/), to fit into the “Star Wars” context. If

the selection was incorrect, no feedback sound was

given. To further support the atmosphere, short pretexts

inspired by the introduction text from the “Star Wars”

movies were created and presented, to announce the

upcoming task (example: “Move the Millennium Falcon

through the clouds of Bespin…”). All object and

background pictures were collected via internet search

engines, each object-background combination was

checked for perceptibility and the backgrounds were

checked to be free of potential distractions (as

recommended by [9]).

Data analysis: To evaluate the effects of our

Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46

Page 4: INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

experimental design consisting of two independent

variables, group (AT, TA) and session (t1, t2, t3, t4), the

following dependent variables were analyzed: EEG

ERPs following targets and non-targets, online-

selection-accuracy (P), information transfer rate (ITR)

and the number of possible selections per minute

(SPM), which was selected based on the users’

performance during the offline-calibration. EEG data were analyzed offline with the MATLAB

toolbox EEGLAB and additional MATLAB scripts

([13], https://sccn.ucsd.edu/eeglab/). Artifacts were

removed using artifact subspace reconstruction on the

continuous data [14]. The data were segmented in

epochs ranging from -200 ms to 800 ms surrounding

stimulus-presentation, the epoch of -200 ms to 0 ms

before stimulus presentation served for baseline

correction. Epochs with extreme amplitudes or

distributions were rejected. Epochs related to target-

stimuli were grouped and averaged; the same procedure

was applied to the non-target-stimuli. Since the P300

was expected to be most pronounced at electrode

position Cz (e.g. [3, 4]), analysis was focused on Cz.

To determine the weights and the number of necessary

stimulus-selection-sequences for online-run signal

classification, a stepwise linear discriminant analysis

(SWLDA) was applied to the EEG data from the

calibration-runs, for a detailed description of the used

algorithm see [15]. SWLDA has been used successfully

in earlier auditory and tactile paradigms, with the best

results obtained if calculated anew for each individual

session, allowing the weights and number of stimulus-

selection-sequences to change from session to session

via training (e.g. [3]).

To explore successful BCI-use on an objective level, P

and ITR were calculated. P served as a measure for the

BCI-usability criterion effectiveness and was defined as

the percent value of correct selections out of all given

selections of a session. As a measure of BCI-

inefficiency it was analyzed how many participants

could exceed the threshold of 70% selection-accuracy

introduced by [16]. ITR served as a measure for the

BCI-usability criterion efficiency, and was defined as

the amount of correctly transferred information during

the time interval of one minute, using the following

formula (1) as recommended by [17]:

𝐵 = log2 𝑁 + 𝑃 ∗ log2 𝑃 + (1 − 𝑃) ∗ log2 (1−𝑃

𝑁−1) (1)

With B standing for bits per selection, N standing for

number of possible selection-targets and P standing for

the estimated probability of a correct classification,

based on the online-selection-accuracy. To calculate the

ITR, B was multiplied with the SPM, using the

following formula (2), with S as the number of

stimulus-selection-sequences that was chosen for each

participant at each session and taking into account the

duration of each stimulus-selection-sequence (3.75 s) as

well as the post-stimulus-selection-sequence break (4 s):

𝑆𝑃𝑀 = 60 s

𝑆 ∗ 3.75 s + 4 s (2)

RESULTS

EEG ERP data averages for each participant are

depicted in Figure 2. Visual inspection suggests that the

participants AT-1, AT-2, AT-3 and TA-2 were able to

produce a solid P300 ERP pattern, with AT-2 slightly

increasing and TA-2 slightly decreasing between t1, t2

and t3, while AT-1 and AT-3 remained stable between

t1, t2 and t3. AT-1 is the only participant that increased

to t4, while AT-2, AT-3 and TA-2 show a lesser to

equally pronounced P300 ERP at t4. TA-1 and TA-3 do

not show a solid P300 pattern over t1, t2, t3 and t4.

Figure 2: Average EEG ERP patterns for each participant over sessions t1, t2, t3 and t4, indicated by color, see legend.

ERPs following target stimuli occurring at 0 ms are indicated by continuous lines, ERPs following non-target stimuli

are indicated by dotted lines. Since earlier studies found the most pronounced P300 ERP pattern at electrode position Cz

(e.g. [3, 4]), current analysis was focused on Cz.

Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46

Page 5: INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

Table 1 shows the development of P over t1, t2, t3 and

t4 for each participant. While AT-1 shows a steadily

increasing value of P that is above the BCI-inefficiency-

threshold of 70% at t1, t2, t3 and t4, AT-2 shows a

value of P above the BCI-inefficiency-threshold at t1, t2

and t3, but below the BCI-inefficiency-threshold of

70% selection-accuracy at t4. AT-3 shows values

slightly above 70% at t1 and t3, the lowest value of P of

all participants at t2 (27.08%), but the highest value of P

of all participants at t4 (97.92%). TA-1 and TA-3 show

values of P above the 70%-criterion at session t2 and t4

(TA-1) and t1, t2 and t3 (TA-3). TA-2 shows the

highest P of all participants at t1 (89.58%), but values

below the 70%-threshold at t2, t3 and t4.

Table 1: Development of P (% correct selections) over

training sessions t1, t2 and t3 to transfer session t4 for

the participants of group AT and group TA, values

below the BCI-inefficiency-threshold of 70% selection-

accuracy [16] are highlighted by grey background

Participant t1 t2 t3 t4

AT-1 77.08 79.17 87.50 95.83

AT-2 75.00 93.75 81.25 64.58

AT-3 70.83 27.08 72.92 97.92

TA-1 56.25 87.50 64.58 87.50

TA-2 89.58 68.75 68.75 66.67

TA-3 75.00 81.25 83.33 58.33

ITR values over t1, t2, t3 and t4 for each participant are

listed in Table 2. Since P contributes a substantial part

to the calculation of the ITR, it is to be expected, that if

participants had low values of P at a certain session, the

ITR is relatively low as well. This pattern is evident in

Table 2, especially if participants were not able to

exceed the 70%-criterion.

Table 2: Development of ITR (bits/min) over training

sessions t1, t2 and t3 to transfer session t4 for the

participants of group AT and group TA, values affected

by values of P below the BCI-inefficiency-threshold of

70% selection-accuracy [16] are highlighted by grey

background

Participant t1 t2 t3 t4

AT-1 0.51 0.69 1.20 1.98

AT-2 0.43 2.09 1.20 0.16

AT-3 0.29 0.00 0.31 1.93

TA-1 0.02 1.03 0.14 1.20

TA-2 1.17 0.21 0.27 0.16

TA-3 0.50 0.96 1.10 0.05

SPM is reported in Table 3 over t1, t2, t3 and t4 for each

participant. Since the ITR is determined by P and the

SPM, ITR scores are relatively high, if a relatively high

value of P is achieved in combination with a relatively

high SPM value, which lead to ITR values that are more

than twice as high as the ITR at t1, for example at t2

(AT-2, TA-1, TA-3), t3 (AT-1, AT-2, TA-3) or t4 (AT-

1, AT-3, TA-1).

Table 3: Development of SPM (1/min) over training

sessions t1, t2 and t3 to transfer session t4 for the

participants of group AT and group TA, numbers in

brackets indicate the corresponding number of chosen

stimulus-selection-sequences based on the offline-

calibration-heuristic [3]

Participant t1 t2 t3 t4

AT-1 2.26 (6) 2.64 (5) 2.64 (5) 2.64 (5)

AT-2 2.26 (6) 3.16 (4) 3.93 (3) 2.64 (5)

AT-3 2.26 (6) 1.98 (7) 1.98 (7) 2.26 (6)

TA-1 1.45 (10) 2.26 (6) 2.26 (6) 2.64 (5)

TA-2 2.26 (6) 1.98 (7) 2.64 (5) 1.98 (7)

TA-3 2.64 (5) 3.16 (4) 3.16 (4) 2.26 (6)

DISCUSSION

The descriptive analysis of the six participants revealed

a high variety of inter-individual differences of BCI-

usability, measured by EEG ERPs at electrode position

Cz, P, ITR and SPM. The analysis of P, ITR and SPM

revealed that five participants were able to use the BCI

version they were first assigned to intuitively with

above 70% accuracy in the first session (all except TA-

1) and five participants profited from training at the

second and/or third session (all except TA-2). Three

participants profited from transfer to the BCI version

they did not use before in the last session (AT-1, AT-3,

TA-1), while three were not able to transfer successful

BCI-use in the last session (AT-2, TA-2, TA-3). Even

though BCI-inefficiency occurred in some sessions, all

participants showed successful BCI-use in at least one

session, using either the developed streaming-based

P300 BCI version with auditory stimulation or the

tactile version or in three cases with both versions,

where also successful transfer of learning was possible

(AT-1, AT-3, TA-1). Despite some participants partly

showing BCI-inefficiency, there were no drop-outs and,

defying potentially discouraging results, every

participant completed all sessions, leading to success for

example in the case of AT-3, who showed the lowest

value of P of all participants at the second training

session (27.08%), but eventually the highest value of P

of all participants at the transfer session (97.92%),

potentially facilitated by transfer of learning.

Yet, several limiting aspects have to be noted,

indicating the need for further research. After showing

the best results in the first training session, participant

TA-2 failed to replicate these results in the following

three sessions, even though TA-2 produced a relatively

solid ERP pattern. TA-2 reported emerging monotony

throughout the paradigm post-hoc after the last session,

indicating that the used tactile BCI version might not be

optimal. Furthermore, the P300 BCI is thought to be

driven by P300 elicitation, but high values of P, ITR or

SPM did not always correspond with a clear P300

pattern at Cz (e.g. TA-1 at t2 and t4, TA-3 at t2 and t3)

or vice versa (e.g. AT-2 at t4, AT-3 at t2, TA-2 at t2, t3

and t4). This should be further examined, especially

Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46

Page 6: INTRODUCING A MOTIVATING TRAINING STUDY DESIGN TO …

since only one electrode position was considered in the

current analysis.

Training lead to relatively high ITR increases, but ITR

in general was relatively low in comparison to earlier

studies (e.g. [3, 4]). Both used BCI versions should be

optimized with regard to ITR maximization, for

example by lowering the amount of time needed for

target-selection (e.g. using less non-targets) and by

updating the signal processing pipeline (e.g. using

shrinkage LDA). Eventually, both BCI versions have to

be tested by LIS users, for example in multiple training

sessions or long-term independent home use [1, 3] and

therefore include a completely non-visual task design.

For future research, a more exhaustive analysis on a

higher number of participants is planned, taking into

account data not yet reported in this paper, like

questionnaire measures of motivation and of the user-

centered design criteria efficiency and satisfaction,

further ERP analysis (e.g. different electrode positions)

as well as including inferential statistics.

CONCLUSION

The presented results indicate that the streaming-based

P300 BCI is a promising approach with auditory stimuli

as well as with tactile stimuli and that the study design

motivated the participants; all could achieve successful

BCI-use in at least one session of the current study. It

seems that there is no superior modality, but individual

preferences. These findings should be considered for

future research with healthy and LIS users.

REFERENCES

[1] Kübler, A., Müller, K.-R., & Guan, C. (2017). The

P300 BCI: on its way to end-users? In Müller-Putz,

G.R., Steyrl D., Wriessnegger S.C., & Scherer, R.

(Eds.), Proceedings of the 7th Graz Brain-Computer

Interface Conference 2017. Graz: Verlag der

Technischen Universität Graz. doi: 10.3217/978-3-

85125-533-1-00.

[2] Riccio, A., Mattia, D., Simione, L., Olivetti, M., &

Cincotti, F. (2012). Eye-gaze independent EEG-

based brain–computer interfaces for communication.

Journal of Neural Engineering, 9(4), doi:

10.1088/1741-2560/9/4/045001.

[3] Halder, S., Käthner, I., & Kübler, A. (2016).

Training leads to increased auditory brain–computer

interface performance of end-users with motor

impairments. Clinical Neurophysiology, 127, 1288-

1296.

[4] Herweg, A., Gutzeit, J., Kleih, S., & Kübler, A.

(2016). Wheelchair control by elderly participants in

a virtual environment with a brain-computer

interface (BCI) and tactile stimulation. Biological

Psychology, 121, 117-124.

[5] Hill, N.J., Ricci, E., Haider, S., McCane, L.M.,

Heckman, S., …, & Vaughan, T.M. (2014). A

Practical, Intuitive Brain-Computer Interface for

Communicating “Yes” or “No” by Listening.

Journal of Neural Engineering, 11, doi:

10.1088/1741-2560/11/3/035003.

[6] Chavarriaga, R., Fried-Oken, M., Kleih, S., Lotte,

F., & Scherer, R. (2017). Heading for new shores!

Overcoming pitfalls in BCI design. Brain-Computer

Interfaces, 4, doi: 10.1080/2326263X.2016.

1263916.

[7] Kübler, A., Holz, E.M., Riccio, A., Zickler, C.,

Kaufmann, T., …, & Mattia, D. (2014). The user-

centered design as novel perspective for evaluating

the usability of BCI-controlled applications. PLoS

One, 9(12), doi: 10.1371/journal.pone.0112392.

[8] Lotte, F., Larrue, F., & Mühl, C. (2013). Flaws in

current human training protocols for spontaneous

Brain-Computer Interfaces: lessons learned from

instructional design. Frontiers in Human

Neuroscience, 7, doi: 10.3389/fnhum.2013.00568.

[9] Marshall, D., Coyle, D., Wilson, S., & Callaghan,

M. (2013). Games, gameplay, and BCI: the state of

the art. IEEE Transactions on Computational

Intelligence and AI in Games, 5(2), 82-99.

[10] World Medical Association. (2013). World

Medical Association Declaration of Helsinki ethical

principles for medical research involving human

subjects. JAMA: Journal of the American Medical

Association, 310(20), 2191-2194.

[11] Sharbrough, F., Chatrian, G. E., Lesser, R.P.,

Lüders, H., Nuwer, M., & Picton, T.W. (1991).

American electroencephalographic society

guidelines for standard electrode position

nomenclature. Journal of Clinical Neurophysiology,

8, 200-202.

[12] Schalk, G., McFarland, D.J., Hinterberger, T.,

Birbaumer, N., & Wolpaw, J.R. (2004). BCI2000: A

general-purpose brain-computer interface (BCI)

system. IEEE Transactions on Biomedical

Engineering, 51, 1034-1043.

[13] Delorme, A. & Makeig, S. (2004). EEGLAB: an

open source toolbox for analysis of single-trial EEG

dynamics including independent component

analysis. Journal of Neuroscience Methods, 134(1),

9-21.

[14] Kothe, C.A.E. & Jung, T.P. (2016). U.S. Patent

Application No. 14/895,440.

https://patentimages.storage.googleapis.com/c3/6b/d

c/7dadfae33c0062/US20160113587A1.pdf

[15] Halder, S., Rea, M., Andreoni, R., Nijboer, F.,

Hammer, E.M., ..., & Kübler, A. (2010). An

auditory oddball brain–computer interface for binary

choices. Clinical Neurophysiology, 121(4), 516-523.

[16] Kübler, A., Neumann, N., Kaiser, J., Kotchoubey,

B., Hinterberger, T., & Birbaumer, N.P. (2001b).

Brain-computer communication: self-regulation of

slow cortical potentials for verbal communication.

Archives of Physical Medicine and Rehabilitation,

82(11), 1533-1539.

[17] Wolpaw, J.R., Birbaumer, N., McFarland, D.J.,

Pfurtscheller, G., & Vaughan, T.M. (2002). Brain-

computer interfaces for communication and control.

Clinical Neurophysiology, 113, 767-791.

Proceedings of the 8th Graz Brain-Computer Interface Conference 2019 DOI: 10.3217/978-3-85125-682-6-46